Rights & Responsibilities

 IDAHO PHYSICAL MEDICINE AND REHABILITATION, PA

NOTICE OF POLICIES, 

PATIENT RIGHTS, AND PATIENT RESPONSIBILITIES

PATIENT RIGHTS.  Patients of IPM&R have the following rights:

• To be treated with respect, consideration and dignity, and to be free from all forms of abuse or harassment by staff, other patients, or visitors.
• To receive, to the degree known, complete information concerning their diagnosis, evaluation, and prognosis, and to be fully informed about contemplated treatment or procedures and the expected outcome before the treatment or procedure is performed.
• To participate in decisions involving their health care and to make informed decisions concerning their treatment before the treatment is performed, except when such participation is not medically appropriate.
• To execute advance directives concerning the patient’s treatment preferences consistent with Idaho law and to have those directives honored subject to the limitations described below.
• To change the patient’s physician or practitioner if other qualified physicians or practitioners are available.
• To receive treatment in a safe setting.
• To reasonable privacy during the patient’s treatment, including during personal hygiene activities, during medical/surgical treatments, or when otherwise requested as appropriate.
• To confidentiality of the patient’s health information, and to access and exercise certain other rights concerning the patient’s health information, as more fully described in IPM&R’s Notice of Privacy Practices.
• To exercise the patient’s rights without being subject to discrimination or reprisal.
• If the patient is deemed incompetent under Idaho law, to have treatment decisions made and patient rights exercised by the patient’s legally authorized representative.
• To make suggestions, complain or submit a grievance relating to the patient’s care by contacting:  ATTN: State Agency Representative, Bureau of Facility Standards, Non – Long Term Care Co-Supervisor  You may also report complaints to the Idaho Bureau of Facility Standards @ 3232 Elder St., Boise, Idaho  83705, (208) 334-6626 or  www.facilitystandards.idaho.gov, and/or the Office of the Medicare Beneficiary Ombudsman, (800) 633-4227 or  www.cms.hhs.gov/ombudsman/resources.asp.

PATIENT RESPONSIBILITIES.  In addition to rights, IPM&R patients and their legally authorized personal representatives also have certain responsibilities to assist us in providing effective care.  By consenting to treatment at IPM&R, you agree to the following:

• To provide accurate and complete information concerning the patient’s health, including present complaints, past illnesses, hospitalizations, medications (including over the counter products and dietary supplements), allergies, sensitivities, and other matters relating to the patient’s health.
• To report unexpected changes in the patient’s condition to the patient’s physician or other practitioner, including but not limited to complications following surgery.
• To ask questions or notify the physician or practitioner if you do not understand or need information relating to the patient’s care or treatment.
• To notify IPM&R if the patients has executed any advance directives, e.g., a living will, durable power of attorney, physician’s order for scope of treatment (“POST”), or similar document.
• To keep appointments and notify IPM&R at least 24 hours in advance when the patient is unable to do so.
• To comply with the treatment plan and instructions from the patient’s physician or practitioner relating to the patent’s care or treatment, including but not limited to pre- and post-operative instructions.
• To accept responsibility for the consequences if you refuse recommended treatment or fail to comply with directions and instructions relating to the patient’s care or treatment.
• If the patient is a surgical patient, to provide a responsible adult to transport the patient to and from IPM&R and to remain with the patient for 24 hours following surgery unless otherwise directed by the physician.
• To be considerate, treat IPM&R staff, patients, and visitors with courtesy, and avoid conduct that is disruptive, disrespectful, or interferes with care rendered at IPM&R.
• To be responsible for the patient’s personal property, and to respect the personal property of IPM&R and other patients or visitors.
• To read and understand all notices, consents and other documents relating to the patient’s treatment or IPM&R’s policies, and to ask questions if you do not understand such documents.
• To comply with IPM&R policies and rules concerning patient care, conduct, and payment for services rendered by IPM&R.
• To ensure that payments for services rendered by IPM&R are made in a timely fashion, and to accept ultimate financial responsibility for the services rendered by IPM&R regardless of the insurance that the patient may have, including responsibility for any costs that are not covered by applicable insurance.
• To notify IPM&R if you have a question, concern, or complaint about your care at IPM&R or IPM&R’s policies or practices.

ADVANCE DIRECTIVES.  Competent patients may execute advance directives which document the patient’s treatment preferences or appoint a representative to make decisions for the patient if the patient becomes incapacitated.  See Idaho Code § 39-4509 et seq.  Advance directives include living wills, durable powers of attorney, and physicians’ orders for scope of treatment (“POSTs”).  IPM&R will make a copy of Idaho’s living will/durable power of attorney or POST form available upon request; however, IPM&R recommends that you seek competent legal advice when considering such forms.  IPM&R’s policy for advance directives is as follows:

In General.  IPM&R will generally honor a patient’s documented advance directive of which IPM&R has notice to the extent that such advance directive is consistent with applicable law and is medically appropriate, except as otherwise provided below.

No “Do Not Resuscitate” Directives.  For ethical and professional reasons, it is IPM&R’s policy to take medically appropriate measures to revive or stabilize a patient who may suffer a life threatening condition at IPM&R, including but not limited to using cardiac life support procedures or other life sustaining treatment, and transferring the patient to an appropriate hospital for further treatment.  Accordingly, IPM&R will not honor POSTs, Do Not Resuscitate (“DNR”) Orders, or other advance directives to the extent that such directives prohibit life sustaining treatment.  By consenting to treatment at IPM&R, you consent to such life sustaining treatment, and you waive or suspend any contrary directions in any advance directives.  If you are unwilling to consent to life sustaining treatment, you must notify IPM&R immediately so that the patient’s care may be transferred to another appropriate provider.

DISCLOSURE OF OWNERSHIP INTERESTS.  The following physicians have an ownership or financial interest in IPM&R’s ambulatory surgery center:  Robert H. Friedman, M.D., Nancy E. Greenwald, M.D., Christian C. Gussner, M.D., Monte H. Moore, M.D., Barbara E. Quattrone, M.D., Michael O. Sant, M.D.,   Mark J. Harris, M.D.

IPM&R/Ambulatory Surgery Center is located at 3551 E. Overland Road, Meridian, Idaho 83646